NPI 1033280631

Rebecca Vestal, DDS

Practitioner General Practice Dentistry Kingsport, TN

Practice location

Address: 2105 E Center St Suite D, Kingsport, TN 37664-2663
Phone: (423) 247-2431
Fax: (423) 247-3907

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3735 (TN)

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Registry record

NPI: 1033280631
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.